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Organization
PASADENA LABORATORY SERVICES INC
Active
Organization
PASADENA LABORATORY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MWATA DYSON (CEO)
(818) 284-1104
Entity
Organization
Contact information
Practice address
1250 E WALNUT ST, STE 136, PASADENA, CA 91106-1893
(818) 284-1104
Mailing address
13547 VENTURA BLVD, SUITE 92, SHERMAN OAKS, CA 91423-3825
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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